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Craniocerebral aspergillosis: A review of advances in diagnosis and management
JPMA. The Journal of the Pakistan Medical Association
  • Muhammad Shahzad Shamim, Aga Khan University
  • Ather Enam, Aga Khan University
  • Rushna Ali, Aga Khan University
  • Saleha Anwar, Hamdard University, Karachi
Publication Date
7-1-2010
Document Type
Article
Abstract

Craniocerebral aspergillosis is a rare but dangerous central nervous system infection. The infection has a spectrum of presenting features, mostly affecting immunocompromised individuals. The incidence appears to be on the rise that has been especially observed in the immunocompetent population. A high index of suspicion, a comprehensive understanding of the infectious process and advanced laboratory and radiological diagnostic techniques, allow early diagnosis. Surgery, followed by systemic antifungal medications, remains the cornerstone of management. Early administration of empirical anti-fungal agents along with immunomodulators may further improve prognosis. Immunocompetent patients tend to have better outcomes as compared to those who are immunocompromised. Patients with intradural disease carry the worst prognosis.

Citation Information
Muhammad Shahzad Shamim, Ather Enam, Rushna Ali and Saleha Anwar. "Craniocerebral aspergillosis: A review of advances in diagnosis and management" JPMA. The Journal of the Pakistan Medical Association Vol. 60 Iss. 7 (2010) p. 573 - 579
Available at: http://works.bepress.com/ather_enam/20/